The nurse is assisting with creating a plan of care for a client with pancytopenia as a result of chemotherapy. The nurse should suggest including which in the plan of care?

Rationale: A. While light activity may be beneficial for overall health, pancytopenia involves low levels of red blood cells, white blood cells, and platelets, which increases fatigue, infection risk, and bleeding. Physical activity should be limited and carefully monitored, not broadly encouraged, until blood counts improve. B. Erythropoietin stimulates the production of red blood cells, helping manage anemia, which is common in pancytopenia. This intervention addresses one component of the condition and can improve energy and oxygenation. C. Colony-stimulating factors (like filgrastim) promote the production of white blood cells, reducing the risk of infection in clients with leukopenia caused by chemotherapy. This is a standard intervention in pancytopenia care. D. Pancytopenia includes low white blood cell counts, making clients highly susceptible to infection. Regular assessment of fever, sore throat, cough, or other infection signs is critical and part of the nursing plan. E. High-fiber foods are generally healthy but can increase the risk of bleeding in clients with thrombocytopenia (low platelets) due to harder stools or straining. Dietary recommendations should focus on soft, easy-to-digest foods rather than fiber for these clients. F. Low-sodium diets are used primarily for conditions like hypertension, heart failure, or kidney disease, not pancytopenia. Sodium restriction is not a standard part of care for chemotherapy-induced pancytopenia.